Casibang, Vicente Gonzales
Casibang, Vicente Gonzales is an individual health care provider with primary practice located at 123 Worthington Street Ste 101, Spring Valley CA 91977. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Casibang, Vicente Gonzales can be contacted via phone (619) 475-8419.Contact Information
Primary practice address
123 Worthington Street Ste 101
Spring Valley CA 91977
Phone: (619) 475-8419
Fax: (619) 472-3624
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 49483 | California |
Profile Details
| NPI number | 1184631921 |
|---|---|
| LBN Legal business name | Casibang, Vicente Gonzales |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Feb 15th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184631921 | NPPES |
| California | MEDICAID | 522496 |
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